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[Magnetic resonance imaging of the hand in rheumatoid arthritis. New scientific insights and practical application].

作者信息

Hermann K-G A

机构信息

Institut für Radiologie am Campus Mitte, Charité--Universitätsmedizin Berlin, Schumannstr. 20/21, 10098 Berlin.

出版信息

Radiologe. 2006 May;46(5):384-93. doi: 10.1007/s00117-006-1363-x.

DOI:10.1007/s00117-006-1363-x
PMID:16612602
Abstract

Magnetic resonance imaging (MRI) is a sensitive diagnostic modality for the detection of inflammatory changes in peripheral joints. Nevertheless, the widespread clinical use of MRI in assessing patients with early rheumatoid arthritis is still hampered by the technical complexity and higher cost of MRI compared with conventional radiography. This overview summarizes the results of recent research and gives practical tips on how to perform MRI of the hands. The authors present an MR protocol for hand imaging, discuss the pros and cons of low-field MR scanners, and outline pitfalls and artifacts. The MRI changes associated with rheumatoid arthritis such as synovitis, tenosynovitis, erosions, and bone marrow edema are described including their prognostic significance. The proven facts on the validation and grading of MR changes in rheumatoid arthritis are summarized. Finally, the role of MRI in the differential diagnosis of arthritis is critically discussed.

摘要

相似文献

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引用本文的文献

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[Imaging in rheumatic diseases. Rheumatoid arthritis and differential diagnostics].[风湿性疾病的影像学检查。类风湿关节炎及鉴别诊断]
Radiologe. 2012 Oct;52(10):937-48; quiz 949-50. doi: 10.1007/s00117-012-2387-z.
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[Old man with a new hat: Does the tomosynthesis technique also benefit detection of rheumatic erosions?].

本文引用的文献

1
The evidence for magnetic resonance imaging as an outcome measure in proof-of-concept rheumatoid arthritis studies.磁共振成像作为概念验证性类风湿关节炎研究的结局指标的证据。
J Rheumatol. 2005 Dec;32(12):2465-9.
2
Prospective 7 year follow up imaging study comparing radiography, ultrasonography, and magnetic resonance imaging in rheumatoid arthritis finger joints.一项为期7年的前瞻性影像学随访研究，比较类风湿性关节炎手指关节的X线摄影、超声检查和磁共振成像。
Ann Rheum Dis. 2006 May;65(5):595-600. doi: 10.1136/ard.2005.041814. Epub 2005 Sep 28.
3
High-resolution magnetic resonance imaging for the assessment of hand osteoarthritis.
[戴新帽子的老人：断层合成技术对风湿性侵蚀的检测也有帮助吗？]
Radiologe. 2011 Nov;51(11):919-20. doi: 10.1007/s00117-011-2243-6.
4
Rheumatoid hands.类风湿性手部病变
Clin Med (Lond). 2009 Oct;9(5):498-9. doi: 10.7861/clinmedicine.9-5-498.
用于评估手部骨关节炎的高分辨率磁共振成像
Arthritis Rheum. 2005 Aug;52(8):2355-65. doi: 10.1002/art.21210.
4
Dynamic magnetic resonance of the wrist in psoriatic arthritis reveals imaging patterns similar to those of rheumatoid arthritis.银屑病关节炎患者手腕的动态磁共振成像显示出与类风湿关节炎相似的影像模式。
Arthritis Res Ther. 2005;7(4):R725-31. doi: 10.1186/ar1734. Epub 2005 Apr 1.
5
MR imaging findings in hands in early rheumatoid arthritis: comparison with those in systemic lupus erythematosus and primary Sjögren syndrome.早期类风湿关节炎手部的磁共振成像表现：与系统性红斑狼疮和原发性干燥综合征的比较
Radiology. 2005 Aug;236(2):593-600. doi: 10.1148/radiol.2361040844. Epub 2005 Jun 21.
6
Detection of erosions in the rheumatoid hand; a comparative study of multidetector computerized tomography versus magnetic resonance scanning.类风湿性手部侵蚀的检测；多排螺旋计算机断层扫描与磁共振扫描的对比研究。
J Rheumatol. 2005 Feb;32(2):256-67.
7
[Comparison of radiation dose and image quality of Siremobil-IsoC(3D) with a 16-slice spiral CT for diagnosis and intervention in the human pelvic bone].[Siremobil-IsoC(3D)与16层螺旋CT在人体骨盆骨诊断及介入中的辐射剂量与图像质量比较]
Rofo. 2005 Feb;177(2):258-64. doi: 10.1055/s-2004-813670.
8
Optimised, low cost, low field dedicated extremity MRI is highly specific and sensitive for synovitis and bone erosions in rheumatoid arthritis wrist and finger joints: comparison with conventional high field MRI and radiography.优化的低成本低场专用四肢MRI对类风湿性关节炎手腕和手指关节的滑膜炎和骨侵蚀具有高度特异性和敏感性：与传统高场MRI和X线摄影的比较
Ann Rheum Dis. 2005 Sep;64(9):1280-7. doi: 10.1136/ard.2004.029850. Epub 2005 Jan 13.
9
Pitfalls in scoring MR images of rheumatoid arthritis wrist and metacarpophalangeal joints.类风湿性关节炎手腕和掌指关节磁共振成像评分中的陷阱。
Ann Rheum Dis. 2005 Feb;64 Suppl 1(Suppl 1):i48-55. doi: 10.1136/ard.2004.031831.
10
An introduction to the EULAR-OMERACT rheumatoid arthritis MRI reference image atlas.欧洲抗风湿病联盟-美国风湿病学会类风湿关节炎MRI参考图像图谱介绍。
Ann Rheum Dis. 2005 Feb;64 Suppl 1(Suppl 1):i3-7. doi: 10.1136/ard.2004.031773.